<{assign var="min_ititle" value="立即下载优惠券"}>
<{include file="block/mini-header.html"}>
<form action="<{link ctl='mall/coupon:download'}>" mini-form="sign-form" method="post" >
<input type="hidden" name="coupon_id" value="<{$coupon.coupon_id}>" />

<div class="yuyBook">
	<dl>
		<dt class="name">
			您的称呼
		</dt>
		<dd>
		<input name="data[contact]" type="text" class="text" value=""  placeholder="请输入您的称呼"//>
		</dd>
	</dl>
	<dl>
		<dt class="tel">
			手机号码
		</dt>
		<dd>
		<input name="data[mobile]" type="text" class="text" value=""  placeholder="请输入手机号码"//>
		</dd>
	</dl>
	
	
	 <div class="yuyue_bottom"><input type="submit" value="立即下载" class="btn btn_sub_big" /><b class="yuyue_tel">装修热线：<font class="fontcl2"><{$CONFIG.site.phone}></font></b></div>
</div>
</form>
<script>
$("[verify]").click(function(){
	$($(this).attr("verify")).attr("src", "/index.php?magic-verify&_"+Math.random());
});
</script>
<{include file="block/mini-footer.html"}>